Applying Research Skills

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Capella University *

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Nursing

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May 24, 2024

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1 Applying Research Skills Megan West Palombi Capella University NSH4000: Developing a Health Care Perspective Shad Smith March 16, 2021
2 Applying Library Research Skills The advancements in technology with health care organizations, patient safety has increased in the prevention of medication errors. Medication errors can cause patient harm and is incredibly important to address ways to prevent such an error from occurring. Preventing medication errors and patient harm is essential to providing quality care. As a registered nurse, it is my duty to maintain patient safety and to prevent harm. It is also my duty to administer medications to patients on a daily basis and to do so in a safe manner. There are safety checks that nurses are taught to help prevent medication errors from occurring during the medication administration process. These checks include verifying the order, verifying the medication when pulling it out of the system, another verification when scanning the medication, verification of the patient by using two identifying factors such as their name and date of birth. Verbalizing medication that is being given to the patient, verification of patient’s allergies, and discussing possible side effects of the medications being administered are also checks that are involved in the administration process. The medication administration tool that is used at my facility, alerts if the medication you scanned is correct or not, it verifies the medication and the dose ordered, it will alert if any allergies are noted for the particular patient, and I feel that all these checks and measures help prevent medication errors from occurring. After researching all the errors that can occur with medications and the severity of some errors, I will definitely ensure that I am careful, and I continue to verify all checks when administering medication to all my patients. Identifying Academic Peer-Reviewed Journal Articles With using the search engine provided by Capella University called Summon, I was able to gain access to databases such as ProQuest Central and Sage Journals. The particular topic I
3 chose for this assignment suggested to use keywords such as “medication errors” and “medication safety” to search the engine for articles relevant to patient safety with medication administration and errors. Then I filtered the article options to only show peer-reviewed articles that have been published within the last five years to ensure that the research was the most recent research completed. Assessing Credibility and Relevance of Information Sources For credibility purposes, my selection of peer-reviewed articles were specifically chosen due to their recent publication. All articles chosen for this assignment were published within the last five years. When researching articles for this topic, I used key words that were relevant to the topic to ensure the articles contained information relating to patient safety with medication errors. I read each article prior to choosing it to ensure that it met criteria for being used and it would provide me with the appropriate insight to complete the assignment. When selecting articles for this assignment, I ensured that each article was full of rich information and that it contained examples and statistics that supported the research for patient safety. Annotated Bibliography Athanasakis, E. (2020, January). Registered Nurses’ Experiences of Medication Errors—An Original Research Protocol: Methodology, Methods, and Ethics. Retrieved March 8, 2021, from https://journals-sagepub-com.library.capella.edu/doi/full/10.1177/0844562120902668 . The article begins with discussing how fragile such a study can be on this particular topic due to requiring interviews with registered nurses who have experienced medication errors. The research could go one of two ways, either leading to nurses’ empowerment
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4 and healing or causing distress from the powerful emotions the study could bring. The study further discusses how the medication errors are recognized, what processes are in place to report the errors, and the nurses’ involvement in the management of the errors. It is imperative, as this study discusses, that medication errors are reported according to the facility’s policy. Though this is can cause emotional distress to the nurse and possibly harm to the patient, we must educate ourselves in how to find a resolution to a problem and discover other preventive measures to prevent them from reoccurring. This article is relevant to medication errors because it involves investigating medication errors with registered nurses to help implement improved and preventative measures. Elshayib, M., Pawola, L. (2020, August). Computerized provider order entry-related medications errors among hospitalized patients: An integrative review. Retrieved March 8, 2021, from https://journals-sagepub-com.library.capella.edu/doi/full/10.1177/1460458220941750? utm_source=summon&utm_medium=discovery-provider& . This article involves computerized provider order-entry (CPOE) unintended errors that occurs and strategies to prevent such errors from occurring. The CPOE was designed to be used by laboratory, nurses, providers, pharmacy, radiology, and so forth, in the patient management process. It was understood that this would help prevent medication errors and provide safe medical care, but current research has shown that this is not always true. A chart is provided from NCC-MERP that helps to categorize the medication errors in their severity. It also provides examples of risk factors that are associated with the use of CPOE. I believe the multitude of information provided by this particular article provides you with the purpose of CPOE systems, risk factors of errors, categories of harm severity,
5 and preventive measures for medication errors with CPOE systems. This article is relevant to the topic at hand due to a system created to help prevent medication errors, and although errors are still occurring, the number of errors has decreased and this article provides measure that help prevent errors. Gates, P. J., Baysari, M. T., Mumford, V., Raban, M. Z., & Westbrook, J. I. (2019, August). Drug Safety: An International Journal of Medical Toxicology and Drug Experience, Vol. 42, Iss. 8. Standardising the Classification of Harm Associated with Medication Errors: The Harm Associated with Medication Error Classification (HAMEC). Retrieved March 8, 2021, from https://search-proquest-com.library.capella.edu/docview/2491615696?pq- origsite=summon . This article involves the discussion and research of the harm that can come from medication errors. The manner that the harm is determined is by using a tool called the harm associated with medication error classification (HAMEC). The HAMEC tool assumes that the medication error actually occurred, reached the patient, and the harm was identified. It is important for the safety of the patient to ensure the definition of harm along with the development and implementation of tools to calculate the harm done. A panel composed of nurses, pharmacists, and medical clinicians use all the information gathered from the investigation and make the determination of harm level done. This article also discusses how important it is that we not only look at the frequency of medication errors but also the severity of harm that is associated with the errors. It is suggested that this tool and panel process is not always a definitive answer for every situation, but it has showed success in multiple investigations. The article is relevant to the topic due to the research that is done to develop a tool to determine the severity of harm associated with medication errors.
6 Latimer, S., Hewitt, J., Stanbrough, R., & McAndrew, R. (2016, September). Reducing medication errors: Teaching strategies that increase nursing students’ awareness of medication errors and prevention. Retrieved March 8, 2021, from https://www- sciencedirect-com.library.capella.edu/science/article/pii/S0260691717300278?via %3Dihub . This article involves nursing students and the education that is provided to these students to help prevent medication errors. It goes further into detail on explaining that medication errors usually occur during the medication cycle such as prescribing, dispensing, and administration. Education is provided to these students by enrolling in a medication safety course, as well as in person lectures to improve the students’ mathematical concepts. The course not only provides foundational pharmacology knowledge for the students, but also educates to improve the understanding of systems of errors and possible prevention strategies. Lastly, there are short videos offered to the students that provides them with clinical medication scenarios to help better prepare them for the clinical setting. These videos are able to give the students the closest interaction with a medication error to help recognize and find a solution the situation without harming a patient. This article is relevant to medication errors because it demonstrates the understanding of the errors and provides education to upcoming nurses on how to prevent such an error from occurring. Learning from the Research With this assignment, I have researched through several peer-reviewed journal articles and obtained information on how to recognize medication errors and ways to prevent an error from occurring. For instance, after reading the article on registered nurses’ experiences of
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7 medication errors by Athananasakis (2020), I learned that nurses don’t always feel comfortable discussing medication errors due to the humility and fear of repercussions that may occur. By creating this annotated bibliography, I used the research I conducted to further my education on patient safety with medication errors. With this education I’ve gained from this assignment, I will be able to use this on future assignments related to medication errors.
8 References Athanasakis, E. (2020, January). Registered Nurses’ Experiences of Medication Errors—An Original Research Protocol: Methodology, Methods, and Ethics. Retrieved March 8, 2021, from https://journals-sagepub-com.library.capella.edu/doi/full/10.1177/0844562120902668 Elshayib, M., Pawola, L. (2020, August). Computerized provider order entry-related medications errors among hospitalized patients: An integrative review. Retrieved March 8, 2021, from https://journals-sagepub-com.library.capella.edu/doi/full/10.1177/1460458220941750? utm_source=summon&utm_medium=discovery-provider& Gates, P. J., Baysari, M. T., Mumford, V., Raban, M. Z., & Westbrook, J. I. (2019, August). Drug Safety: An International Journal of Medical Toxicology and Drug Experience, Vol. 42, Iss. 8. Standardising the Classification of Harm Associated with Medication Errors: The Harm Associated with Medication Error Classification (HAMEC). Retrieved March 8, 2021, from https://search-proquest-com.library.capella.edu/docview/2491615696?pq- origsite=summon Latimer, S., Hewitt, J., Stanbrough, R., & McAndrew, R. (2016, September). Reducing medication errors: Teaching strategies that increase nursing students’ awareness of medication errors and prevention. Retrieved March 8, 2021, from https://www- sciencedirect-com.library.capella.edu/science/article/pii/S0260691717300278?via %3Dihub